TY - JOUR
T1 - Recurrent Atrial Fibrillation with Isolated Pulmonary Veins
T2 - What to Do
AU - Gianni, Carola
AU - Anannab, Alisara
AU - Della Rocca, Domenico G.
AU - Salwan, Anu
AU - MacDonald, Bryan
AU - Mayedo, Angel Quintero
AU - Mohanty, Sanghamitra
AU - Trivedi, Chintan
AU - Di Biase, Luigi
AU - Natale, Andrea
N1 - Publisher Copyright:
© 2020 Elsevier Inc.
PY - 2020/6
Y1 - 2020/6
N2 - When patients have symptomatic recurrent atrial tachyarrhythmias after 2 months following pulmonary vein antral isolation, a repeat ablation should be considered. Patients might present with isolated pulmonary veins posterior wall. In these patients, posterior wall isolation is extended, and non-pulmonary vein triggers are actively sought and ablated. Moreover, in those with non-paroxysmal atrial fibrillation or a known higher prevalence of non-pulmonary vein triggers, empirical isolation of the superior vena cava, coronary sinus, and/or left atrial appendage might be performed. In this review, we will focus on ablation of non-pulmonary vein triggers, summarizing our current approach for their mapping and ablation.
AB - When patients have symptomatic recurrent atrial tachyarrhythmias after 2 months following pulmonary vein antral isolation, a repeat ablation should be considered. Patients might present with isolated pulmonary veins posterior wall. In these patients, posterior wall isolation is extended, and non-pulmonary vein triggers are actively sought and ablated. Moreover, in those with non-paroxysmal atrial fibrillation or a known higher prevalence of non-pulmonary vein triggers, empirical isolation of the superior vena cava, coronary sinus, and/or left atrial appendage might be performed. In this review, we will focus on ablation of non-pulmonary vein triggers, summarizing our current approach for their mapping and ablation.
KW - Atrial fibrillation ablation
KW - Coronary sinus
KW - Left atrial appendage
KW - Left atrial posterior wall
KW - Nonpulmonary vein triggers
KW - Superior vena cava
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U2 - 10.1016/j.ccep.2020.02.001
DO - 10.1016/j.ccep.2020.02.001
M3 - Review article
C2 - 32451105
AN - SCOPUS:85084972411
SN - 1877-9182
VL - 12
SP - 209
EP - 217
JO - Cardiac Electrophysiology Clinics
JF - Cardiac Electrophysiology Clinics
IS - 2
ER -